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Utah rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $11.20 / $89.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $62.23 / $67.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.77 / $12.77